| NPI | 1508208059 |
|---|---|
| Former Name | RACHEL E. MISURACA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KY 10198) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856268) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-07-21 |